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Continent Ileostomy

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Complexities in Colorectal Surgery

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Abstract

In 1969, N. G. Kock published preliminary results of an intra-abdominal reservoir as an alternative to the conventional ileostomy. For patients needing proctocolectomy for ulcerative colitis or familial polyposis, the continent ileostomy still serves as a viable alternative to both the conventional Brooke ileostomy and ileoanal pouch. This chapter describes physiological principles of the pouch and evolution to the present continent ileostomy. Special attention is given to the surgical technique and the management of complications, including salvage procedures. Pouchitis and epithelial dysplasia of the pouch are discussed as well as the potential risk of polyps developing in patients with familial adenomatous polyposis and the surveillance of these patients. The indications for a continent ileostomy, and in particular the conversion of the failed pelvic pouch to continent ileostomy, are presented.

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Authors and Affiliations

  1. The Colorectal Unit, Department of Surgery, Sahlgrenska University Hospital SU/O, Göteborg, 416 85, Sweden

    Leif Hultén MD, PhD, FACS, ACGBI (Hon), ISUCRS (Hon), SICCR (Hon)

  2. Department of Cancer Research and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, N-7491, Norway

    Helge E. Myrvold MD, PhD, SEC (Hon)

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  1. Leif Hultén MD, PhD, FACS, ACGBI (Hon), ISUCRS (Hon), SICCR (Hon)
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  2. Helge E. Myrvold MD, PhD, SEC (Hon)
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Correspondence to Leif Hultén MD, PhD, FACS, ACGBI (Hon), ISUCRS (Hon), SICCR (Hon) .

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Editors and Affiliations

  1. Division of Colon and Rectal Surgery Department of Surgery, Madigan Army Medical Center, Fort Lewis, WA, USA

    Scott R. Steele MD

  2. Division of Colorectal Surgery Department of Surgery, UMass Memorial Medical Center University of Massachusetts Medical School, Worcester, MA, USA

    Justin A. Maykel MD

  3. Division of Colon and Rectal Surgery Department of Surgery, Case Western Reserve University School of Medicine University Hospitals, Cleveland, OH, USA

    Bradley J. Champagne MD

  4. Division of Colon and Rectal Surgery Department of Surgery, Louisiana State University Health Science Center LSU School of Medicine, New Orleans, LA, USA

    Guy R. Orangio MD

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Hultén, L., Myrvold, H.E. (2014). Continent Ileostomy. In: Steele, S.R., Maykel, J.A., Champagne, B.J., Orangio, G.R. (eds) Complexities in Colorectal Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9022-7_10

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  • DOI: https://doi.org/10.1007/978-1-4614-9022-7_10

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